Gastrointestinal cultures Flashcards
Organism as main growth after antibiotic treatment
Clostridium difficil
Screen with C serological screen
Fresh stool specimen handling
If can’t be plated within 1-2 hours, place in transport medium (cary-blair) for bacteria. Other transport for virus/parasites
Salmonella XLD reaction
Red colonies with black centers
Shigella XLD reactions
Colorless red colonies
Salmonella HE reaction
Green with black centers
Shigella HE reaction
Green
Salmonella Te7 reaction
Red
Shigella Te7 reaction
red
TSI Salmonella reaction
Red/yellow (K/A) with gas & H2S
TSI Shigella reaction
red/yellow (K/A)
LIA Salmonella reaction
Purple/Yellow (K/A) with H2S
LIA Shigella reaction
purple/yellow (K/A)
Urea salmonella reaction
Negative - yellow
Urea Shigella reaction
Negative - yellow
Salmonella infection
Ingestion of contaminated or undercooked poultry, beef, unpasteurized milk and eggs and person-to-person.
Causes gastroenteritis - usually self-limited up to serious epticemia
Shigella infection
Bloody stool, person to person contact
Usually self limiting
Campylobacter jejuni isolation media
Campy BAP/Brucella agar, 10% sheep blood with antibiotics
Environment at 42 and N 80-85%
Confirmation of Campylobacter jejuni
Curved gram neg rod, growth on Campy BAP, catalase +, nitrate +, sensitive to 30 ug disk of nalidixic acid, resistant to 30 ug disk of cephalothin
Campylobacter method of infection
Inadequately cooked poultry, untreated water, unpasteurized milk - exposure to animals with diarrhea (puppies & kittens)
Frequency of Campylobacter jejuni
Most common cause of diarrhea in US
Campylobacter jejuni course of illness
fever, pain, 1-7 day incubation but self-limiting